Congenital lung malformations: a nationwide survey on management aspects by the Italian Society of Pediatric Surgery.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Pio Luca, Gentilino Valerio, Macchini Francesco, Scarpa Alberto Attilio, Lo Piccolo Roberto, Conforti Andrea, Ratta Alberto, Guanà Riccardo, Molinaro Francesco, Costanzo Sara, Riccipetitoni Giovanna, Lisi Gabriele, Midrio Paola, Tocchioni Francesca, Cobellis Giovannii, Volpe Andrea, Zolpi Elisa, Morandi Anna, Ciardini Enrico, Vella Claudio, Grella Maria Giovanna, Sergio Maria, Guida Edoardo, Nanni Lorenzo, Ceccanti Silvia, Di Benedetto Vincenzo, Cheli Maurizio, Garzi Alfredo, Nobili Maria, Gabriele Valeria, Boroni Giovanni, Incerti Filippo, Zampieri Nicola, Cacciaguerra Sebastiano, Ceccarelli Pier Luca, Escolino Maria, Briganti Vito, Gori Davide, Esposito Ciro, Gamba Piergiorgio, Gennari Fabrizio, Inserra Alessandro, Dall'Igna Patrizia, Romeo Carmelo, Bagolan Pietro, Bleve Cosimo, Chiarenza Fabio, Morini Francesco, Pelizzo Gloria, Torre Michele
Аннотация
METHODS: Following a National Society approval, an electronic survey including 35 items on post-natal management was designed, focusing on surgical, anesthesiology, radiology and pneumology aspects. The survey was conducted contacting all pediatric surgical units performing thoracic surgery.
RESULTS: 39 pediatric surgery units (97.5%) participated in the study. 13 centers (33.3%) were classified as high-volume (Group A), while 26 centers (66.7%) were low volume (Group B). Variances in diagnostic imaging protocols were observed, with Group A performing fewer CT scans compared to Group B (p = 0.012). Surgical indications favored operative approaches for asymptomatic CLM and pulmonary sequestrations in both groups, while a wait-and-see approach was common for congenital lobar emphysema. Surgical timing for asymptomatic CLM differed significantly, with most high-volume centers operating on patients younger than 12 months (p = 0.02). Thoracoscopy was the preferred approach for asymptomatic CLM in most of centers, while postoperative long-term follow-up was not performed in most of the centers.
CONCLUSION: Thoracoscopic approach seems uniform in asymptomatic CLM patients and variable in symptomatic children. Lack of uniformity in surgical timing and preoperative imaging assessment has been identified as key areas to establish a common national pattern of care for CLM.